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The updated U.S. Preventive Services Task Force guideline (1) recommends screening for abdominal aortic aneurysm (AAA) in men aged 65 to 75 years who have ever smoked (1). In designing the screening process in our internal medicine clinic, we speculated whether Gawande's observation of the frequent use of computed tomography in a representative community warranted querying regional health care providers for existing abdominal imaging before screening for AAA (2). This query could reduce the cost of mass screening.